Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,038
Total Claims
$788K
Drug Cost
335
Beneficiaries
$2,351
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+543%
Opioid rate vs peers
59.1% vs 9.2% avg
+227%
Cost per patient vs peers
$2,351 vs $719 avg
+108%
Brand preference vs peers
13.8% vs 6.7% avg
🔎 Data Overview
Opioid prescribing rate is 543% above the average for Physician Assistant providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
59.1%
Opioid Rate
2,979
Opioid Claims
$477K
Opioid Cost
25.9%
Long-Acting Rate
This provider's opioid prescribing rate of 59.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 696 claims · $407K
Generic: 4,342 claims · $381K
Patient Profile
65
Avg Age
56%
Female
1.40
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About